Ongoing Assessment Of The Newborn Flashcards

1
Q

What are the role and responsibilities of the midwife undertaking the ongoing daily examination

A
Consent 
Dignity 
Record keeping 
Hygiene 
Detection deviations from the norm
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2
Q

What are the aims of the ongoing daily assessment of the baby?

A

Detect deviations and act promptly

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3
Q

Describe the features of a cephalohaematoma , how it’s managed and how long they last

A

It’s an accumulation of blood under the scalp, causing a abnormality in head shape due to minor trauma from birth.

It’s normally left alone for the body to reabsorb the fluid as they do not present any problems.
Normally lasting several weeks to a few months

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4
Q

Describe the features of a caput succedaneum, how it’s managed and how long it lasts

A

It is swelling of the scalp brought on my pressure from the uterus or vaginal wall during a cephalic birth.
There is no treatment and will go away on its own, it may cause slight discomfort but should go away within a couple of days

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5
Q

What is the function of skin

A

Barrier to infection
Prevents loss of heat and moisture
Regulates body temp
Sensory organ

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6
Q

What is the defintion of milia and where is it found

A

Tiny white bumps on a baby’s nose, chin or cheeks.

These usually disappear on their own within days or weeks

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7
Q

What are sucking blisters and where are they found

A

Tell tale sign of attachment problems, they may be blisters or swollen lips on the infant.

They go away on their own and don’t need any treatment

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8
Q

What is an infection in the nail bed called

A

Paronychia

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9
Q

What is the definition of a macule and give an example of where you might find one

A

A circumscribed flat area or discolouration that’s less than 10mm in diameter.
Example, a freckle on the skin

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10
Q

Describe and define erythema toxicum and does it need treatment

A

A common rash seen in term infants that usually appears in the first few days and fades within a week.
No treatment is needed

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11
Q

Describe a strawberry naevus, how can this develop and change over time

A

Collection of small blood vessels that form a lump under the skin, given this name because they look like the surface of a strawberry.
They may get bigger

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12
Q

Where might you find sore skin and chafing on assessment of the baby

A

Thighs and buttocks from nappies

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13
Q

Describe the process by which the cord separates and when this happens

A

It will dry out and fall off, within one to three weeks.

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14
Q

What is grunting

A

Usually related to digestion, the baby is getting used to the milk. Possibly due to gas in their stomach and feelings of uncomfortableness

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15
Q

State and describe the signs of hypoglycaemia

A
Pale/ blue skin 
Breathing problems 
Irritated 
Poor feeding and weight gain 
Problems with regulating temp
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16
Q

How does thrush present in the baby’s mouth

A

Creamy white spots on the tongue, gums or roof of mouth. If you wipe these, they shouldn’t come off.
White film on the lips

17
Q

How does thrush present itself in a baby’s nappy

A

red patches on the baby’s bottom, skin may look and feel sore, hot to touch may be spots pimples or blisters